GANTINA SETIAWATI Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164011634

License Status

ACTIVE

Business

First Name

GANTINA

Last Name

SETIAWATI

Business Name

GANTINA SETIAWATI

Original Issue Date

01/03/2025

Effective Date

08/10/2025

Expiration Date

10/31/2027

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

08/10/2025